Organization
HEARTLAND PITTSBURG DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A WILLIAMS (ADMINISTRATOR)
(417) 676-0174
Entity
Organization
Contact information
Practice address
2425 S ROUSE ST, PITTSBURG, KS 66762-6606
(620) 231-0656
(620) 231-1901
Mailing address
2828 S GRAND AVE, CARTHAGE, MO 64836
(417) 358-5500
(417) 358-5510
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
08/23/2023
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